Preoperative Instructions

• Suspend 15 days before surgery:
Garlic, Ginko Biloba, Ging Seng, Glucosamine Chondroitin, Ginger, Green Tea, Green Coffee, Any Herbalife product, Vitamins, Valerian, Omega 3, 6 and 9, St. John’s Wort, Aifos and Keifos,

• Suspend 8 days before surgery:
Drugs that contain Acetyl Salicylic Acid (ASA or AAS).
Aspirin, Sevedol, Aspirineta, Asawin, Excedrin, Alka Seltzer, Bon Fiest.

• Suspend 3 days before surgery:
Non-steroidal anti-inflammatories.
Naproxen, Ibuprofen (Motrin®, Advil®), Ketoprofen (Feldene®), Diclofenac (Voltaren®), Anti-influenza drugs containing anti-inflammatories, Ketorolac, Nimesulide, Celebrex.

• Warn if you are taking or applying any anticoagulant:
Apixaban (Eliquis®), Dabigatran Ethoxylate (Pradaxa®) and Rivaroxaban (Xarelto®), Edoxaban, Heparin, Enoxaparin (Clexane®, Clenox®), Fraxiparin (Nadroparina®).

• Notify if you are taking any natural medication or formulated medication

• One or two days before surgery:
It will be evaluated by the anesthesiologist. Remember to keep all the medication you take and the preoperative exams.

• Before the surgery:
Arrive one hour before surgery.
Fulfill the fast of food and liquids for 8 hours.
If the surgery is in the morning, the last meal should be at 10pm, avoiding dairy and carbonated drinks. If the surgery is in the afternoon, you can have breakfast before 7am juice or aromatic with 2 cookies, without dairy or fat.
Do not drink alcohol or drugs 48 hours before surgery.
No Smoking.
Remove hair extensions, metallic objects such as earrings, rings or piercings, remove dental prostheses, hearing aids and contact lenses.
Do not use makeup, creams, sunscreen, nail polish, eyelash.
It is not necessary to shave the area to operate. If needed, it will be done in surgery.

While the surgery is being performed, the nursing staff will be informing the companions about the progress of the surgery.

• When you finish the surgery you will be transferred to recovery or hospitalization.
• Do not wet the Healing until the review appointment.
• Monitor and record the drainage debit every 24 hours.
• To roam precociously. He only goes to bed at night to sleep. Avoid rest.
• Get up and lie down carefully so as not to hurt the operated area.
• Do not consume sodas or dairy products the day of surgery.
• Increase the consumption of Proteins (meat, fish, vegetable protein).
• Avoid exposure to heat and direct sunlight.
• Nausea, dizziness, sore throat and mild pain in the area operated during the first 48 hours are normal. The recovery is slow and gradual.
• Take medications at the indicated dose and time.
• Attend all review appointments.
• Be pending to claim the results in the case of tissue study (pathology).

• Pain that does not improve with medications.
• Heavy bleeding from the wound
• Excessive drain due to drain
• Drain disconnection
• Difficulty breathing
• Increase in the volume of the operated area
• Uncontrollable vomiting
• Blurry vision
• Alteration of consciousness
• Changes in skin color or appearance of blisters
• Fever
• Increase in the temperature of the operated area

Dr. Felipe Muñoz Plastic Surgeon



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